RoyalTeaRN

You really took the beneficial tact by putting the energy from what I'm sure is your hardcore, excoriating pent-up frustration over how all that went down, to share and post on here instead of other possible actions. Take care, thanks, YOU CAN DO THIS.

Thanks to y'all for being willing to share.

Glad things worked out better than you expected, despite the understandable anxiety you went through up to that point. I hope you land somewhere that shows appreciation for your effort and dedication.

What kind of "disclosures" were you asked about when you were interviewing for jobs, IF you're so inclined to (very kindly) respond?

Thanks for that link to ProPublica! I like their investigative efforts, though I wasn't aware of their story on the New York BoN.

The staff involved LIED about what (in)action they had taken for this person who passed away. And after they LIED about their (in)action, they continued in their jobs for TWO YEARS. And kept their licenses for another year. Was this the first time these staff members lied about the care they gave, or didn't?

Very compassionate and insightful response.

Thanks for sharing.

Thank you very much for sharing.

Use any free apps that you can, but I credit UWorld in particular with having prepared me for the breadth and variety of questions that can come up on the NCLEX. UWorld had many more different questions spread out among the different topics that are fair game. You might get shut off at 100 questions, and more than half of them could be related to pharmacology.

Make sure to very, very clearly reach an understanding from your clinical instructor how they want you to handle communication when you see an abnormal in the clinical setting. Do they want you to come to them, and only them, when this happens? Or will they allow you to communicate with staff, if a staff member is the first person available？ Very, very important for you to do this.

I really, really, really seriously hope that things turn out better for you, and that you'll land somewhere that'll offer you the support and fulfillment you're making deposits into your karmic account for tolerating such conditions for that long. And for accomplishing what you for have for yourself, those patients and their families within that amount of time, under those circumstances. Thank you for sharing.

At what point in the hiring process do I own up to my mistakes, while at the same time not coming off as though I'm "brushing it off?" I'm sooo prepared to be rejected repeatedly, and maybe the rejections will lead me down a path to finding my niche and rebuilding my confidence, like the other career-related posts on this Website have mentioned. The mis-step I made both times which resulted in me acting outside my scope, and that I absolutely have to not EVER allow again, was not sufficiently communicating to ensure that I had an order for any action I made, and to not take any action until I had that order. The second time this happened I was so stressed from being on-call for second shift and having to come back in at 7 a.m. the next morning that I left the long-term care facility without having communicated to the charge nurse whether I needed to go back and give a full dose of long-acting insulin as opposed to the half dose I gave for a below baseline blood sugar. My memory is a blank as to whether I even told the charge nurse about the half dose I did give. If it sounds like I'm brushing it off, it's because I'm trying to suppress my angst over allowing myself to make the same mistake again. And maybe my angst ends up driving me out of the profession. I have people's lives in my hands. I can't take back actions I make. Thankfully no harm came because of what happened. How do I overcome my angst, frustration and shaken confidence without having a melt down diarrhea-fest of emotion over it, while at the same time possibly landing a job?

I was going for "dispassionate" or "impersonal" in the original post, but robotic will work too. Lack of communication on my part that resulted in me taking an action without the backing of a doctor's order. First time it was an adjusted (lowered) IV rate, second time it was an adjusted (lowered) insulin dose. Same mistake twice, same result. Just have to not get so stressed that I forget the *effort* necessary to communicate as needed.

Not just a first dismissal, but a second. No discipline or restrictions to license, have two years experience in med/surg and skilled nursing, performed wound care in both settings. Have been advised to be upfront about having been dismissed, because "they'll find out eventually, and you'll want to give your side first." Confidence shaken, but won't short circuit integrity in pursuit of advancement. Still believe in myself (if I don't, how can anybody else?) and am prepared for the forthcoming rejections. Comments, encouragement, beratement?